Issued:  April 13, 2020

ICF-IID Provider Information Session

Partners is adding an information session specifically focused on our ICF-IID provider community:

ICF-IID Provider Information Session

Friday, April 17, 2020, 11 a.m.

Register in advance for this meeting. After registering, you will receive a confirmation email with more details.

To learn about other Provider Information Sessions, visit https://providers.partnersbhm.org/covid-19/ or the Partners Event Calendar.

Authorizations

Partners announced in Provider Communication Bulletin #103 that effective March 19, 2020, Partners lifted the requirement to obtain prior authorization for services provided to members during the COVID-19 crisis period.  Partners has now extended this period through May 31, 2020. Providers can continue to initiate, continue to deliver, and bill for services.

  • The number of units that were approved in the most recent authorization will stay the same.
  • All services should reflect Medically Necessary care.
  • Upon the first concurrent authorization after this period, all documentation must be submitted to Utilization Management according to the Service Definition and additional guidance from NC DHHS.

Services billed during this period for dates of service prior to March 19, 2020 are subject to pre- or post-payment review. Claims may be denied/recouped due to no authorization

Monitoring Site Visits

Partners announced in Provider Communication Bulletin #103 that had made the decision to suspend all routine monitoring, including virtual for 30 days. This date has been extended to May 31, 2020. We will reassess as conditions are changing daily. This includes unlicensed Alternative Family Living, post payment reviews and site visits for credentialing (initial and recredentialing)

Providers have the opportunity to virtually complete any reviews that the Partners Quality Management (QM) Monitoring department currently has in process. If the provider cannot complete the review at this time, providers will be offered the opportunity to reschedule.

Weekly Joint NC DMHDDSAS and DHB (NC Medicaid) COVID-19 Update for NC Providers

Thursday, April 16, 2020 from 3:00 p.m. to 4:00 p.m.

Register Here: https://attendee.gotowebinar.com/register/71764430652521740

After registering, you will receive a confirmation email containing information about joining the webinar.

During this call, you will receive updates from DMHDDSAS and DHB representatives followed by an open Q&A session.  IN addition to DMHDDSAS and DHB subject matter experts we will also have a representative from DHSR on the call to answer questions you might have.  In consideration of the limited time we have on the call, we ask that you review the guidance link (below) on the DHHS website and FAQs on the NC Medicaid site to see if an answer to your question has already been provided.

As things continue to change and move quickly during the COVID-19 pandemic, please continue to stay abreast of emerging issues, guidance, and policies by visiting: